Positional plagiocephaly
From Wikipedia, the free encyclopedia
Positional plagiocephaly, also known as deformational plagiocephaly[1] or flathead syndrome,[citation needed] is a condition most commonly found in infants and is characterized by a flat spot on the back or one side of the head caused by remaining in one position for too long.
Contents |
[edit] Causes
It can be caused by a condition called torticollis in which neck muscles on one side of the head develop differently, causing the head to tilt to one side, but more commonly it happens in infants of ordinary development who sleep in one position for long periods of time.
In 1992 the American Academy of Pediatrics started a program called "Back to sleep" which encouraged parents to keep their infants on their backs while sleeping instead of their front as had been conventional wisdom.[2][3] This reduced the risk of SIDS by nearly 40% but increased the incidence of positional plagiocephaly by 600%.[citation needed]
[edit] Treatment
The condition may be left untreated, or something as simple as active repositioning of the child's head while sleeping can be tried. Although helmet treatment may be warranted in more severe cases, evidence for improved outcome is weak in moderate cases.[4]
[edit] Prognosis
Prognosis for this condition is excellent and resolves in most cases before one year of age.[citation needed]
[edit] Similar conditions
Another, similar condition called craniosynostosis occurs when bones in the skull fuse together too soon. This is a much more serious condition that requires surgery.
[edit] See also
[edit] References
- ^ "Deformational Plagiocephaly". http://www.healthsystem.virginia.edu/uvahealth/peds_craniofacial/dfrmplag.cfm. Retrieved on 2007-12-26.
- ^ Turk AE, McCarthy JG, Thorne CH, Wisoff JH (1996). "The "back to sleep campaign" and deformational plagiocephaly: is there cause for concern?". J Craniofac Surg 7 (1): 12–8. doi:. PMID 9086896.
- ^ Caccamese J, Costello BJ, Ruiz RL, Ritter AM (2004). "Positional plagiocephaly: evaluation and management". Oral Maxillofac Surg Clin North Am 16 (4): 439–46. doi:. PMID 18088746.
- ^ "BestBets: What is the role of helmet therapy in positional plagiocephaly?". http://www.bestbets.org/bets/bet.php?id=1702.
